Active NPI
Corrin Reimer
- Speech-Language Pathologist
- Shelbyville, IL
National Provider Identifier
1578875019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146010364
- Practice address
- RR 2 Box 154B
Shelbyville, IL 62565-8237 - Phone
- (217) 774-2428
- Fax
- (217) 774-4136
- NPI assigned
- Jul 13, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146010364 | IL | Primary |
Addresses
Primary practice location
RR 2 Box 154B
Shelbyville, IL 62565-8237
Mailing address
RR 2 Box 154B
Shelbyville, IL 62565
Phone (217) 774-2428
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146010364 | IL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tiny Tots Therapy, Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Early Intervention Provider Agency
- Shelbyville, IL
- NPI 1548576382
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279152000000",
"number": "1578875019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RR 2 BOX 154B",
"city": "SHELBYVILLE",
"state": "IL",
"postal_code": "62565",
"telephone_number": "217-774-2428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "RR 2 BOX 154B",
"city": "SHELBYVILLE",
"state": "IL",
"postal_code": "625658237",
"telephone_number": "217-774-2428",
"fax_number": "217-774-4136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REIMER",
"first_name": "CORRIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-13",
"last_updated": "2010-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146010364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shelbyville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.